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Penetrating atherosclerotic ulcer: another case of the ‘great pretender’
  1. Philippa Howlett1,
  2. Venkatachalam Chandrasekaran2,
  3. Tuan Peng Chua1
  1. 1Cardiology Department, Royal Surrey County Hospital, Guildford, UK
  2. 2Cardiothoracic Surgery, St George's Hospital, London, UK
  1. Correspondence to Dr Philippa Howlett, Cardiology Department, Royal Surrey County Hospital, Guildford GU2 7XX, UK; philippah{at}doctors.org.uk

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A 57-year-old woman presented with acute retrosternal discomfort. An ECG demonstrated diffuse T wave inversion and she was treated for an acute coronary syndrome. Upon further review, CT aortography was arranged. This was reported as showing aortic wall thickening consistent with aortitis (figure 1). Subsequently the patient deteriorated. …

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